MICHAEL HENDERSON

RESEDA, CA
NPI1255060851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1472640622)
Enumeration Date2022-06-08
Last Update Date2023-08-04
Business Address
MICHAEL HENDERSON
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
Mailing Address
MICHAEL HENDERSON
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
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